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Contact Information

SUZETTE M GRANT, INDIVIDUAL
860 TIBBETTSTOWN RD
COLUMBIA FALLS, ME04623-5021
 Phone: 207-483-2883
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for SUZETTE M GRANT · (Female)

NPI Number 1306982780
Status Active
Credentials INDIVIDUAL
Entity Individual
Enumeration date 01/30/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • ME License # 3002032
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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